Facility Evaluation Report

At approximately 1:15 PM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with care staff. Reynaldo Gutierrez, Administrator was contacted via telephone and arrived at the facility at approximately 2:30 PM. Facility is a Residential Care Facility for the Elderly (RCFE) with 12 residents in care. Facility serves memory care residents, has a Hospice waiver for 10, and approval for 10 bedridden residents. Facility has a Department approved waiver for a secured perimeter which was granted in 08/2016.

At approximately 2:30 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a on story building and was a comfortable temperature. LPA observed chairs and outdoor furniture stored on the patio outside of room three. Facility staff moved the chairs immediately and agreed to ensure the facility is operating in compliance with regulation moving forward. The remaining passageways were observed free from obstructions. Facility has the required postings in the main common areas which are accessible to the public. However, LPA did not observe an activity calendar or menu posted. Administrator agreed to post these immediately to ensure the facility is operating in compliance with regulation. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. However, LPA observed multiple instances of furniture and window covering that were in disrepair, such as missing or broken dresser drawers, missing or broken knobs or handles on furniture drawers, curtains and blinds ripped or broken, and couches and chairs with torn fabric. Administrator agreed to either repair or replace the observed items before LPA returns to the facility to finish this annual inspection. Closets containing cleaning supplies and other items that could potentially pose a risk to residents in care were observed locked.